Executive Committee Agenda Monday, August 31, 2020 Delaware … · 2020. 8. 8. · Executive Committee Agenda . Monday, August 31, 2020 500: p.m. Virtual Delaware-Morrow Mental Health

Executive Committee Agenda

Monday, August 31, 2020 5:00 p.m. Virtual Delaware-Morrow Mental Health & Recovery Services Boardroom

40 N. Sandusky St. Suite 301Delaware OH

Agenda

Item Item Presenter Information Discussion Action

1. Call to Order/Roll Call Joe Gigliotti, Committee Chair X

2. Approval of Agenda Joe Gigliotti, Committee Chair X

3. Motion to approve the Executive Committee Meeting Minutes: August 10, 2020

Joe Gigliotti, Committee Chair X X X

4. DMMHRSB Community Plan - OhioMHAS

Rhianna Mattix, Associate Director X X X

5. FY2021 Helpline Contract Advance Request

Deanna Brant, Executive Director X X X

6. DMMHRSB Board By-Laws Draft Update


7. Delaware County Specialized Docket Subsidy Funding


8. DMMHRSB Board Survey Summary Deanna Brant, Executive Director X X X

9. Morrow County OhioHealth -DMMHRSB – Provider MOU

Deanna Brant, Executive Director X X

10. Motion to Adjourn Joe Gigliotti, Committee Chair X

Next Executive Committee Meeting: Tentatively Monday September 28, 2020 at 5:00 p.m. DMMHRSB Boardroom/Teleconference

Next IFC Meeting:

Monday September 28, 2020 immediately following Executive Committee Meeting DMMHRSB Boardroom/Teleconference

40 North Sandusky Street, Suite 301 | Delaware, OH 43015 | Office: 740.368.1740 | Fax: 740.368.1744 | www.dmmhrsb.org

Executive Committee Meeting Minutes | August 10, 2020| Virtual DMMHRSB Boardroom | 40 N. Sandusky St. Suite 301, Delaware, Ohio

1. Call to Order/Roll Call: Joe Gigliotti, Board Chair

The meeting was called to order at 3:02 p.m. and Roll Call was taken. Committee Members Attending: Joseph (Joe) Gigliotti; Zachary (Zach) Miller; Committee Members Present: Marnie Whaley-Buckel; Committee Members Excused: Adelbert (Del) Robeson; Board Member(s) Attending: Staff Present: Beth Anderson, Kyle Lewis; Rhianna Mattix; Kristan Warren; Kelly Wood Providers Attending: Angela Lee; John Bell; Nate Green; Sue Hanson; Cindy Ison; Julie Erwin-Rinaldi; Amber Scott; Matt Walls; Todd Walts; Wendy Williams Board Guests Attending: Rick Skilliter & Donna Dickman – Prevention Awareness Support Systems (PASS)

2. Approval of Agenda: Joe Gigliotti, Board Chair Motion: To accept the August 10, 2020 Executive Committee Meeting Agenda, as

presented. Moved By: Marnie Whaley-Buckel Seconded By: Zach Miller Motion: Carried 3-0

3. Approval of 6/29/2020 Board Meeting Minutes: Joe Gigliotti, Board Chair Joe asked for a motion to approve the minutes. Motion: To approve the June 29, 2020 Board Meeting minutes, as presented. Moved By: Zach Miller Seconded By: Marney Whaley-Buckel Motion: Carried 3-0

June 1, 2020 Executive Committee Minutes Page 2 4. FY2021 Specialized Dockets Allocation Agreements: Rhianna Mattix, Associate

Director Joe asked Rhianna to speak about each MOU and they would make a motion to approve all at one time. Rhianna stated the items in the packet included the MOU’s for the Common Pleas and Municipal Courts of Delaware County. The Common Pleas Court’s allocation to the drug court is $30,000, the Mental Health Court is $30,000 and the Juvenile Court is $30,000. The Municipal OVI is $30,000 and the Municipal Veterans is $20,000, for a total of $140,000 in pass-through funds from OhioMHAS to supplement personnel costs. Joe asked if there were any questions and if not asked for a motion to approve.

Motion: To approve the allocation of $140,000 in pass-through OhioMHAS funding

to the Delaware County Courts Specialized Dockets, as described in the agreements.

Moved By: Marnie Whaley-Buckel Seconded By: Zach Miller Motion: Carried 3-0

5. Personnel Policy 5.01 Work Schedules - Updated – Electronic Signatures:

Rhianna Mattix, Associate Director Rhianna reviewed the updates made to the policy concerning the ability to use electronic signatures on time reporting records. Joe asked when would this go into effect? Rhianna said as soon as approved by the Executive Committee or Board. Zach asked if where the forms were being held was a time recording system? Rhianna explained it was a fillable PDF that was created to allow people to fill it out and sign it electronically, but it does not currently tie into any electronic payroll system. Zach then asked who wrote the policy. Rhianna replied Jim Evans the HR Consultant. Joe asked for a motion to approve. Motion: To approve the revised Personnel Policy 5.01 Work Schedules. Moved By: Zach Miller Seconded By: Marney Whaley-Buckel Motion: Carried 3-0

6. FY2021 Southeast Allocation Update: Rhianna Mattix, Associate Director A letter was received from Southeast concerning the projections used for the FY2021 contract allocations. In the letter, Southeast provided a data chart concerning challenges

June 1, 2020 Executive Committee Minutes Page 3

they had billing claims. They stated that if they bill at the projection indicated, they may need to come back late in the fiscal year for more money. Rhianna then asked Wendy Williams, COO of Southeast, if she had anything she would like to add. Wendy thanked everyone for this being added to the agenda and reiterated it was for information purposes only. She then gave an overview of general situations which were contributing to the differences in billing. She said they would continue to collect data and provide information as the moved forward. She thanked the board for the funds made available due to COVID, as it has helped pay for “more robust telehealth services.” Zach stated it looked from the bar chart provided concerning the average days to bill it looked cyclical. He said it drops off the first of the year and then goes back up around August. He asked why that was. John Bell, CFO of Southeast, stated there were a couple of different reasons, one being the cyclical nature of the contract, which means sometimes they hold billings in order to work out details, coding, pricing and to allow them to update their system. Other things like vacations and providers providing different services in different ways can impact how they bill.

7. FY2021 Syntero Allocations – First Responder Program/Olentangy Local School District: Rhianna Mattix, Associate Director Rhianna stated that both programs had been discussed in previous meetings and this discussion concerns increasing Syntero’s allocation to reflect adding these to their contract. This isn’t anything new to the contract, it was the timing of them being approved that didn’t allow for the dollar amounts to be included in the contract at the time it went out. The First Responder program will add $62,500 and OLSD will add $39,000, for a total increase in allocations to Syntero of $101,500. Joe read the motion and asked if anyone wanted to move to approve it. Motion: To adjust the FY2021 Syntero Provider Agreement to include the First

Responder’s Program ($62,500) and the fourth Olentangy Local Schools Behavioral Health Clinician ($78,000) to the August 20, 2020 full Board Meeting Agenda. OLSD will reimburse 50% of the position to the Board. The total Fy2021 Syntero Allocations will be $101,500.

Moved By: Zach Miller Seconded By: Marney Whaley-Buckel Motion: Carried 3-0

8. Prevention Awareness Support Services (PASS) Overview: Rhianna Mattix, Associate Director Rhianna stated the presentation from Prevention Awareness Support Services is to gather information as to what other options might be available for prevention services. Rick Skilliter, Executive Director of Prevention Awareness Support Services introduced

June 1, 2020 Executive Committee Minutes Page 4

himself and Donna Dickman, former E.D. and current Director of Development provided a detailed overview of their organization and the programs they had to offer. Joe thanked them for such an informative presentation.

9. Motion to Adjourn: Joe Gigliotti, Board Chair Joe asked for a motion to adjourn. Motion: To adjourn the August 10, 2020 Executive Committee Meeting. Moved By: Zach Miller Seconded By: Marney Whaley-Buckel Motion: Carried 3-0

The Executive Committee meeting was adjourned at 4:04 p.m.

Respectfully submitted, ____________________________ Kelly Wood, Administrative Assistant ____________________________ Joseph Gigliotti, Executive Committee Chair

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Ohio Department of Mental Health and Addiction Services (OhioMHAS) Community Plan Guidelines SFY 2020 and 2021

Enter Board Name: Delaware-Morrow Mental Health & Recovery Services

NOTE: OhioMHAS is particularly interested in areas identified as priorities for RecoveryOhio, including: (1) access and capacity changes for mental health and addiction services for both adults and children/youth; (2) health equity concerns for racial and ethnic minorities and people living in Appalachia or rural Ohio; (3) distinctive challenges for multisystem youth, families involved in child welfare, and for criminal justice-involved Ohioans; (4) prevention and/or decrease of opiate overdoses and/or deaths; and/or (5) suicide prevention.

Environmental Context of the Plan/Current Status

1. Describe the economic, social, and demographic factors in the board area that influence service

delivery. Note: With regard to current environmental context, boards may describe the impact of Behavioral Health Redesign including Medicaid Managed Care carve-in.

Delaware County continues to be the fastest growing county in Ohio with a 2019 Census estimation of nearly 210,000 residents. Morrow County has minimal population growth with just over 35,000 residents. New commercial and residential construction projects have increased over the last year in both counties. Providing the needed capacity for services within a growing Delaware County is challenging, particularly while experiencing the struggles with BH redesign and workforce recruitment and retention. Although the Delaware-Morrow Mental Health & Recovery Services Board (DMMHRSB) is fortunate to have the required components of the Continuum of Care, meeting capacity needs continues to be a challenge.

The DMMHRS Board area spans the full spectrum of community types. Southern Delaware County is a suburban area, expanding the boundaries of the city of Columbus. The city of Delaware functions as a small urban area, while Northern Delaware County and Morrow County are rural areas. Each of these areas has unique strengths and needs.

Delaware County Information: • 15th largest populated Ohio County • Racial/ethnic mix 86.8% Caucasian, 3.8% Black or African American; 7.1% Asian • Median age of 38.7 years • Rate of individuals living in poverty 4.1% • High school graduation rate is 96.7% • Residents with a bachelor’s degree or higher 54.4%

Morrow County Information:

• 69th largest populated Ohio County • Racial/ethnic mix 97.2% Caucasian, .7% Black or African American, .4% Asian • Median age of 41.8 years

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• Rate of individuals living in poverty 11.9% • High school graduation rate is 86.6% • Residents with a bachelor’s degree or higher 13.5%

(Statistics reported by www.census.gov, www.ohio-demographics.com, and www.censusreporter.org)

Delaware County has been named the “Healthiest County in Ohio” by the Robert Wood Johnson Foundation for the past four years. In 2018, it was ranked the 12th healthiest county in the U.S. by U.S. News & World Report.

Both counties are challenged by limited public transportation that is not able to meet the needs of the residents. Although DMMHRSB allocates funds for client transportation to and from treatment services, often there are no transportation services available to purchase. In response to this need, DMMHRSB contracted with a local transportation company in Delaware County to ensure clients are able to attend scheduled appointments and other services vital to treatment goals.

Even with transportation challenges, unemployment has been historically low in the Board area, with more than two thirds of the residents working outside their respective counties with an average commute of 30 minutes. Similar to averages across the state, Delaware and Morrow Counties have experienced higher rates of unemployment during the COVID-19 pandemic.

Morrow County, with the August 2019 opening of the Dollar Tree/Family Dollar Regional Distribution Center, has created 400 jobs with an estimated annual payroll of $12.8 million. This new source of in-demand jobs provides opportunity for growth in the area as demonstrated by renovation and new construction of surrounding businesses as well as proposed housing development in Morrow County.

There continues to be a shortage of safe, adequate, and affordable housing in both counties. Although there are numerous housing developments being built in Delaware County, most are too expensive to be affordable by persons with low incomes, even with subsidies. In Morrow County there is a general lack of housing available.

DMMHRSB uses the GOSH system for electronic billing and claims from providers. BH Redesign and Carve In have impacted our treatment providers both large and small. The billing complexity and lower rates has challenged all treatment contract providers. Agencies that have been struggling are now at high risk financially. Larger agencies that were expected to be well prepared were equally effected by these changes. Short-term fiscal resources became available to our providers as related the pandemic and changes in service provision. To date, providers aren’t certain if these funds will ultimately be considered as grant funding or loans requiring repayment.

DMMHRSB’s next levy will be on the ballot in 2021. The 1 mill levy is vital to the local system of care as it provides approximately 80% of the system’s revenue. The Board has been able to increase funding for treatment, recovery support services, and school-based prevention as a result of the savings from Medicaid Expansion. If Medicaid Expansion is discontinued and/or without additional levy funding, local resources will not be sufficient to provide needed treatment services while maintaining the effective prevention programs in the schools.

Assessing Needs and Identifying Gaps

http://www.census/

http://www.ohio/

http://www.censusreporter/

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2. Describe needs assessment findings (formal & informal), including a brief description of methodology. Please include access issues, gaps in services and disparities, if any.

In early 2019, DMMHRSB launched a strategic planning update process that secured informed input from its clients, client families, service providers, community partners, and county leaders. Through data analysis and discussion of challenges and opportunities facing the system, a plan with four priority goals and associated objectives was developed. The strategic plan was adopted by the DMMHRSB at the June 13, 2019 DMMHRS Board meeting.

Through the process, key themes emerged that focused on the need for the Board to emphasize community-based care as well as prevention/early intervention efforts; infuse more flexibility into outreach and access to care approaches; encourage ways to foster and reward good care and services; and prepare the system for aggressive population growth.

The four goals framing future work are: • Goal #1: Mental Health & Wellness: Enhance the continuum of care to improve mental health and

wellness. • Goal #2: Substance Abuse: Enhance the continuum of care to address substance abuse. • Goal #3: Mental Illness & Substance Abuse Recovery: Expand efforts to assist individuals on their path to

recovery. • Goal #4: Board Operations: Upgrade the scope, scale, and methodology of Board approaches to meet

current individual and community demand; while setting the stage for population growth.

In addition to the DMMHRSB’s strategic planning process, the Community Health Improvement Assessments (CHA) and the Community Health Improvement Plans (CHIP) for both counties provide valuable information and identified needs.

Delaware County has completed their most recent CHIP for 2019-2022. Mental health and addiction were found to be the top priority areas and rated as the highest area of need. Under the priority topic of “Mental Health” there are six strategies:

1. Implement community-based education to promote positive mental health. 2. Universal school-based suicide awareness and education programs. 3. Research the use of technology to deliver mental health services (Suicide crisis hotlines and cell phone-

based programs). 4. Improve mental health and substance abuse referral process. 5. Screen for clinical depression for all patients 12 or older using a standardized tool. 6. Evaluate school district implementation of community-based prevention programming that supports

Positive Behavioral Interventions & Supports (PBIS) (School-based violence prevention programs)

Under the priority of “Addiction” there are six strategies: 1. Expand screening, brief intervention and referral to treatment (SBIRT) model. 2. Expand community-based comprehensive programs to reduce alcohol abuse. 3. Evaluate school district implementation of community-based prevention programming that supports

Positive Behavioral Interventions & Supports (PBIS) (School-based alcohol/other drug prevention programs)

4. Increase community awareness and education of risky behaviors and substance abuse issues and trends. 5. Increase safe disposal of prescription drugs.

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6. Increase policies to decrease availability of tobacco products.

Morrow County is in the process of developing their 2020-2022 CHIP from their 2019 CHA published February 2020. The Morrow County CHIP identified substance use and mental health as two of their top four priority areas. Under the priority area “Improve Adult and Youth Mental Health” there are six strategies:

1. Increase awareness of trauma-informed care. 2. Increase the number of primary care physicians screening for depression during office visits. 3. Re-establish suicide prevention coalition. 4. Provide Mental Health First Aid training. 5. Expand the Leader in Me program. 6. Implement evidence-based bullying prevention programs.

Under the priority area “Decrease Adult and Youth Substance Abuse” there are five strategies: 1. Expand evidence-based programs and counseling services targeting youth and families. 2. Increase treatment options for those with substance use disorders. 3. Expand efforts of the Drug and Alcohol Awareness & Prevention (DAAP) coalition. 4. Increase the number of health care providers screening for drugs and alcohol. 5. Expand Hidden in Plain Sight program to reduce alcohol and drug use among youth.

As an additional note, the funding that has been available to address the opioid epidemic is appreciated. However, this has historically done little to address the ongoing problem of alcohol use, or the growing use of cocaine as heroin use decreases. Methamphetamine use has increased in Delaware County, but has remained consistently high in Morrow County.

a. Needs Assessment Methodology: Describe how the board engaged local and regional planning and funding bodies, relevant ethnic organizations, providers and people living with or recovering from mental illness and addiction in assessing needs, evaluating strengths and challenges and setting priorities for treatment and prevention in SFY 2019. [ORC 340.03 (A)(1)(a)]. Describe the board’s plan for on-going needs assessment in SFY 2020 if they differ from this current fiscal year.

The DMMHRSB strategic planning process provided the primary information to inform the identified community needs. The process was facilitated by a private contractor, who has assisted the Board through the last 3 strategic plans. Focus groups were held with mental health clients (Safe Harbor Peer Support Services-Annie’s & No Limits), substance use disorder clients (Maryhaven), and family members (NAMI). One-on-one interviews were conducted with key community stakeholders in both counties. Surveys were received from judges in county courts. Surveys were also received from local school districts. The process utilized demographics, claims data, DMMHRSB performance outcome data, 2016-2017 Youth Risk Behavior Scale Survey (YRBSS), and data from the most recent Community Health Assessments for each county. From this information the DMMHRSB Strategic Planning Committee developed a plan with four priority goals as discussed above. The DMMHRSB has contracted with Measurement Resources which will enable a more comprehensive assessment of service penetration and return on investment at the county level. The DMMHRSB also restructured internal responsibilities and has devoted more staff time to development and monitoring of outcomes for contracted providers.

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The CHIP process in both Delaware & Morrow Counties also provided needs assessment information. Both counties utilized the Hospital Council of Northwest Ohio to facilitate the process. DMMHRSB staff were active participants in both county assessments and plans. In Delaware County, the Partnership for a Healthy Delaware County participates in the Community Assessment and CHIP processes. The Partnership includes over 60 individual, community and agency representatives. The previous Community Health Assessment was reviewed, as well as the data collected from community and stakeholder surveys. In Morrow County more than 50 Morrow County Community Partners were involved in completing a “Identifying Key Issues and Concerns” worksheet. A ranking exercise was used to determine the most significant health issues or concerns for both adults and youth. The general needs identified have remained consistent over the last two strategic planning processes. DMMHRSB will update the strategic plan at the end of the current two-year plan and participate in the Community Health Assessments in both counties when they are implemented again.

b. Describe how the board collaborated with local health departments and their 2019 State Health Improvement Process. In your response, please include, if applicable, the following: 1) collaborative efforts specific to assessing needs and gaps and setting priorities. 2) barriers or challenges the board believes will have to be overcome moving forward that will result in complimentary public health and behavioral health plans, 3) advantages, if any, realized to date with collaborative planning efforts, 4) next steps your board plans on undertaking to further alignment of public health and behavioral health community planning.

DMMHRSB staff have been actively involved in the Community Health Assessments and Improvement Plans for both Delaware and Morrow Counties. It was not surprising that both mental health and substance abuse once again rose to a priority level for both counties. DMMHRSB has positive working relationships with both county health districts, including sharing assessment information and joint surveys.

In attempting to integrate our strategic plan goals and strategies with the CHIPs, we encountered different perspectives between the overarching “health” versus “behavioral health” but were able to come to consensus.

The advantage is in further development and deepening of the relationships between agencies and learning from each other. Some examples of this include the implementation of SBIRT in collaboration with Sourcepoint, HelpLine, Mt Carmel Emergency Department, Mt Carmel Primary Cares, and the Health District in Delaware County. The Delaware General Health District has epidemiologists that work with DMMHRSB on data relating to mental health and substance abuse issues identified as in strategies 4 and 5 in the CHIP.

In Morrow County a Collective Impact Grant has assisted in the development of an Opiate Dashboard. The dashboard can be found on the Morrow County Health Department website and will be collaboratively managed by the health department, DMMHRSB, and the Drug & Alcohol Awareness & Prevention Coalition of Morrow County.

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DMMHRSB will continue to be actively involved in the CHIPs, as well as any projects or initiatives that benefit the well-being of residents of both counties. Further alignment of the plans will continue through ongoing conversation and planning. DMMHRSB will continue the work of integrating our strategic plan goals and strategies with the CHIPs and expect this will expand over time.

c. Child service needs resulting from finalized dispute resolution with Family and Children First

Council [340.03(A)(1)(c)].

This has not been an issue in Delaware or Morrow County.

d. Outpatient service needs of persons currently receiving treatment in State Regional Psychiatric

Hospitals [340.03(A)(1)(c)].

One of the primary needs of individuals being released from the state hospital to the community is finding safe, affordable housing. In spite of the development in Delaware County, the cost of housing exceeds the means of clients. Morrow County has limited housing available. DMMHRSB contracts with a housing provider, Del-Mor Dwellings. The agency works hard to manage the needs of its residents coming out of the hospital as a priority. However, they have a wait list of 80-100 clients seeking housing. Del-Mor Dwellings is nearing completion of a housing development project that will provide more permanent living with supports for 40 persons with severe mental illness. This project is projected to be complete and subject to occupancy by October 2020. The STAR Center, a seven bed, short-term residential facility has been an important resource. It is no longer under the management of a DMMHRSB contract provider. DMMHRSB is able to pay for use of individual beds, but at a premium price. The Board area does not currently have any other residential facilities contracted for these services but continues to explore options in the region. Another identified need is expansion of community-based care and strengthening the continuum of care. DMMHRSB has specifically focused on needs within the crisis-continuum, Peer Recovery Services, and community-based outreach efforts in order to ensure client needs are met in the least restrictive way.

e. Service and support needs determined by Board Recovery Oriented System of Care (ROSC) assessments.

DMMHRSB continues to need certified peers in both mental illness and substance use disorders. Our peer support provider has experienced difficulty in finding and keeping local certified peers. The few we have were certified under a prior certification process. DMMHRSB has provided CCAR peer certification training locally this fiscal year to 10 participants who are working to complete the certification process. Future trainings are planned to continue developing this important workforce.

f. Needs and gaps in facilities, services and supports given the Continuum of Care definitions found in the Ohio Revised Code [ORC 340.03(A)(1)].

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The DMMHRSB system of care meets the requirements of the Continuum of Care. The system needs are focused on building capacity for all services and supports to address the population growth. This includes the need for facilities in which to provide services. Many contract provider agencies have outgrown their current workspace. Finding facilities that meet the need is a challenge, as well is affordability. DMMHRSB is working to expand existing space in Morrow County to accommodate a fourth provider as well as providing additional space to existing providers in the county. In Delaware County DMMHRSB is working collaboratively with other county partners to explore a new project that would create a campus for expanded workspace for providers as well as space for additional services such as crisis assessment, stabilization, and residential units. The shortage in the clinical workforce also impacts the ability to grow capacity. Housing resources are also needed for adults with severe mental illness, adults in recovery, and families experiencing the impact of the shortage of these resources.

g. Needs and gaps associated with priorities of the Executive Budget for 2020-2021 including crisis

services, criminal justice-involved populations, families involved with child welfare, and prevention/early intervention across the lifespan.

Growth and expansion of crisis services continues to be an area of focus for our Board area. Continuity of care and quality crisis services are strengthened through an attention to expanded collaboration between local hospitals, board contracted providers, and public safety services. Although our partnerships are strong, we are working to build seamless interagency transition to eliminate fragmentation in the referral and treatment network. Delaware and Morrow County residents receive all inpatient psychiatric care out of county, at often in excess of 40 miles away for adults and over 100 miles away for child and adolescent care. Nationwide Children’s and Mt. Carmel Hospitals transport many of the behavioral health clients to their hospital main campus in Columbus rather than provide assessment and triage in their facilities in Delaware County. The Morrow County Hospital, an OhioHealth affiliate, works in collaboration with a board contracted provider to offer 24/7 crisis assessment and triage through their emergency department. Crisis assessment and management services are also offered at both county jails through board contracted providers. Law Enforcement and EMS would like a single point of entry to take clients in the county (like the NetCare model in Columbus) which includes the availability of crisis beds. DMMHRSB has been supporting crisis services by increasing the crisis line of service through contract providers and various creative arrangements. We have also been exploring mobile crisis service provision. Our local hotline, HelpLine, has worked with DMMHRSB to increase the clinical skill level of hotline staff in order to better screen and refer appropriately over the phone, becoming a hub for local services in both Delaware and Morrow Counties. The school-based mental health services funded by DMMHRSB work in tandem with providers, school staff, and School Resource Officers to provide crisis intervention services for youth

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during school hours. These are services that are provided to the 8 local school districts in Delaware and Morrow Counties. We have planned with each district to optimize the Student Wellness and Success Funding and K-12 Prevention Funding into the 2020-2021 school year to customize the school-based services currently provided. All eight of our local school districts plus the Delaware Area Career Center (DACC) were able to submit a finalized plan to obtain K-12 prevention funding for SFY21. Prevention and early intervention continue to be a focus of DMMHRSB system of care, especially in regard to youth. Our focus is on comprehensive and strategic planning to expand service capacity and ensure delivery of evidence-based programming that is immersive in the existing schools’ culture. DMMHRSB is working collaboratively with our local districts to learn their unique needs and how COVID-19 has impacted these needs for the 2020-2021 school year and to be supportive to students and staff alike. DMMHRSB recognizes the need to support districts as a whole in order to address the mental hygiene and social/emotional learning of students and staff. We are confident that collaborative efforts with school staff and administrators will yield impactful plans and programs to benefit students and families.

3. Complete Table 1: Inventory of Facilities, Services and Supports Currently Available to Residents of the Board Area. (Table 1 is an Excel spreadsheet accompanying this document. Instructions are found on page 10 of the Guidelines).

Priorities

4. Considering the board’s understanding of local needs, the strengths and challenges of the local system,

what has the board set as its priorities for service delivery including treatment and prevention? Please be specific about strategies for adults; children, youth, and families; and populations with health equity and diversity needs in your community. Below is a table that provides federal and state priorities. Please complete the requested information only for those federal and state priorities that are the same as the board’s priorities and add the board’s unique priorities in the section provided. For those federal and state priorities that are not selected by the board, please check one of the reasons provided or briefly describe the applicable reason in the last column. Please address goals and strategies for any gaps in the Ohio Revised Code required service array identified in the board’s response to question 2.d. in the “Assessment of Need and Identification of Gaps and Disparities” section of the Community Plan [ORC 340.03(A)(11) and 340.033].

Priorities undertaken in SFY 2020 that the board is continuing into 2021 as well as new priority areas identified for SFY 2021 may be included.

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Priorities for Delaware-Morrow Mental Health & Recovery Services Board

Substance Abuse & Mental Health Block Grant Priorities

Priorities Goals Strategies Measurement Reason for not selecting

SAPT-BG: Mandatory (for OhioMHAS): Persons who are intravenous/injection drug users (IDU)

X No assessed local need __ Lack of funds __ Workforce shortage __ Other (describe):

SAPT-BG: Mandatory (for boards): Women who are pregnant and have a substance use disorder (NOTE: ORC 5119.17 required priority)

To increase the number of healthy, recovering mothers who can deliver a drug-free baby in a stable environment.

Provide support, linkage and resources to pregnant woman with substance use disorders through the Stable Cradle Program at Maryhaven in Delaware & Morrow Counties.

Number of unduplicated pregnant women served in the program. Number of participants able to achieve

& maintain abstinence. Number of babies of participants born

drug-free.

__ No assessed local need __ Lack of funds __ Workforce shortage __ Other (describe):

SAPT-BG: Mandatory (for boards): Parents with SUDs who have dependent children (NOTE: ORC 340.03 (A)(1)(b) & 340.15 required consultation with County Commissioners and required service priority for children at risk of parental neglect/abuse due to SUDs)

Provide services & supports to parents with substance use disorders, who have dependent children, in order for them to provide a safe & healthy home environment & maintain/reinstate custody.

Refer to local SUD treatment services. Refer to Stable Cradle Program at

Maryhaven. Refer to Ohio START Program. Create a Family & Child Team of

community providers & family &/or refer to FCFC Interagency Youth Council.

Number of participants in the Stable Cradle Program & Ohio START Program. Number of successful discharges from

Stable Cradle Program & Ohio START Program.


SAPT-BG: Mandatory (for OhioMHAS): Individuals with tuberculosis and other communicable diseases (e.g., AIDS.HIV, Hepatitis C, etc.)

No assessed local need per Delaware General Health District or Morrow County Health Department.


MH-BG: Mandatory (for OhioMHAS): Children with Serious Emotional Disturbances (SED)

Enhance the continuum of care to improve mental health & wellness.

Expand the geographic reach of services, utilizing community-based models or technology, to provide improved access to care. Build capacity toward a more

comprehensive, 24/7 crisis response system, including but not limited to: Expanded capacity for after-hours, face to face crisis intervention

Number of provider sites by service type. Number of youth served by Intensive

Home-Based Services. Number of clients served after-hours

& their demographics. Completed crisis infrastructure plan.


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services & assess crisis infrastructure needs. Strengthen mental health referral

process from local emergency departments to behavioral health provider network.

Completed evaluation of current

referral system. Completed referral protocols.

MH-BG: Mandatory (for OhioMHAS): Adults with Serious Mental Illness (SMI)


Expand the geographic reach of services, utilizing community-based models or technology, to provide improved access to care. Build capacity toward a more

comprehensive, 24/7 crisis response system, including but not limited to: Expanded capacity for after-hours, face to face crisis intervention services & assess crisis infrastructure needs. Ensure implementation of Assertive

Community Treatment (ACT) services. Strengthen mental health referral

process from local emergency departments to behavioral health provider network.

Number of provider sites by service type.

Number of clients served after-hours

& their demographics. Completed crisis infrastructure plan. Number of clients receiving ACT

services. Completed evaluation of current



MH-Treatment: Homeless persons and persons with mental illness and/or addiction in need of supportive housing

Expand efforts to assist individuals on their path to recovery.

Increase housing capacity for behavioral health clients by 10%.

Number of certified recovery housing beds. Number receiving tenant-based rental

assistance. Number living in permanent

supportive housing.


MH-Treatment: Older Adults __ No assessed local need __ Lack of funds __ Workforce shortage X Other (describe): Addressed by partnership between SourcePoint, Syntero, & DMMHRSB.

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Additional Priorities Consistent with SAMHSA Strategic Plan and Reported in Block Grant


MH/SUD Treatment in Criminal Justice system –in jails, prisons, courts, assisted outpatient treatment

__ No assessed local need __ Lack of funds __ Workforce shortage X Other (describe): Addressed by numerous partnerships, such as re-entry programs, peer support, clinicians in county jails, & specialized treatment dockets.

Integration of behavioral health and primary care services

__ No assessed local need __ Lack of funds __ Workforce shortage X Other (describe): Addressed in partnerships between board contracted providers and local FQHC’s. Southeast Healthcare is now offering integrated care in Delaware County and is working with OhioHealth Primary Care in Morrow County.

Recovery support services for individuals with mental illness or substance use disorders; (e.g. housing, employment, peer support, transportation)

Expand efforts to assist individuals on their path to recovery.

Increase number of certified peer supporters by 10%.

Increase housing capacity for

behavioral health clients by 10%. Update & expand the reach of

consumer-operated services (COS) with initial focus on adopting outreach-driven, inclusive,

Number of peers certified by population focus.

Number of certified recovery housing

beds. Number receiving tenant-based rental

assistance. Number living in permanent

supportive housing. Number of unduplicated COS clients by

site, including demographics. Completed facility improvements. Amount invested in facility

improvements.


Page 12

contemporary COS model & upgrading No Limits facility. Ensure implementation of Individual

Placement & Support (IPS) to assist with employment opportunities.

Number of clients served by IPS. Number and percent of job starts.

Promote health equity and reduce disparities across populations (e.g. racial, ethnic & linguistic minorities, LGBT)

__ No assessed local need __ Lack of funds __ Workforce shortage X Other (describe): Addressed as an overarching goal of healthcare, including MH & SUD, through local Community Health Improvement Plans (CHIPs).

Prevention and/or decrease of opiate overdoses and/or deaths

Enhance the continuum of care to address substance abuse.

Expand the geographic reach of services, utilizing community-based models or technology, to provide improved access to care.

Ensure implementation of treatment

services available outside traditional business hours.

Expand screening, brief intervention,

& referral from health & other community partners to behavioral provider network.

Strengthen substance use disorder

referral process from health care systems to behavioral health provider network.

Number provider sites by service type. Number providers using technology

for service provision. Services available during non-

traditional hours. Number clients participating in non-

traditional hours. Number screening sites Number screened by site. Completed evaluation of current


__ No assessed local need __ Lack of funds __ Workforce shortage __ Other (describe

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Promote Trauma Informed Care approach __ No assessed local need __ Lack of funds __ Workforce shortage X Other (describe): Addressed in Board’s past strategic plan for system of care & some community public service organizations who have developed & implemented an agency TIC Action Plan. Currently being addressed through local Community Health Improvement Plans (CHIPs) as an overarching community goal.

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Prevention Priorities


Prevention: Ensure prevention services are available across the lifespan


Expand universal prevention programs to include all elementary, middle & high school buildings in all 8 public school districts. Increase number of students served

by school-based prevention & early intervention services.

Expand community-based educational

program geographic reach to promote positive mental health.

Number of children in grades K-12 served by school district by program. Percent of public school buildings with

programs. Number of students in grades K-12

served by school district. Number served by program. Number Served by location.


Prevention: Increase access to evidence-based prevention

__ No assessed local need __ Lack of funds __ Workforce shortage X Other (describe): DMMHRSB only funds evidence-based prevention programs.

Prevention: Suicide prevention Enhance the continuum of care to improve mental health & wellness.

Expand suicide prevention programming to include all middle & high school buildings in all 8 public school districts.

Increase number of students served

by school-based prevention & early intervention services. Delaware Suicide Prevention Coalition

meetings & activities such as the Annual Suicide Prevention Walk.

Number of children in middle & high schools by school district receiving suicide prevention programming.

Percent of public-school buildings with suicide prevention programming.

Number of students in grades K-12 receiving school-based services by school district.

Number of participants in Annual

Suicide Prevention Walk.


Page 15

Expand community-based educational program geographic reach to promote positive mental health.

Number served by program. Number Served by location.

Prevention: Integrate Problem Gambling Prevention & Screening Strategies in Community and Healthcare Organizations


Board Local System Priorities (add as many rows as needed)

Priorities Goals Strategies Measurement

Board Operations Upgrade the scope, scale, and methodology of Board approaches to meet current individual & community demand; while setting the stage for population growth.

Prepare for a successful property tax renewal levy campaign. Upgrade data information system and associated

practices to facilitate data-driven and results-based decision-making. Plan & implement a value-based, outcome-oriented

provider funding model. Identify specific workforce recruitment & retention

actions to aid the system’s providers. Convene working committee to examine how

population growth may impact DMMHRSB system & make recommendations to address recommended growth.

Campaign committee operational. Total levy passage vote by county.

IT system upgrades completed. New procedures implemented. Model plan completed.

Action(s) identified. Implementation plan completed. Findings Issued. Plan with performance metrics

completed.

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Collaboration

5. Describe the board’s accomplishments achieved through collaborative efforts with other systems, people living with mental illness or addiction, family members, providers, and/or the general public during the past two years. (Note: Highlight collaborative undertakings that support a full continuum of care. Are there formal or informal arrangements regarding access to services, information sharing, and facilitating continuity of care at a systems level?) DMMHRSB is fortunate to have the opportunity to work with so many individuals and groups in Delaware and Morrow Counties with the desire to collaborate on projects and issues, working together to solve problems in support of each other. All interactions and collaborations in the Board area can only strengthen our mission, including the continuum of care. Communities in both counties in the Board area are committed to positive working relationships between systems and services for the benefit of residents. There are many active and engaged partners and strong collaboratives. Our frequent interactions allow for timely dialogue about potential trends and specific service needs. DMMHRSB collaborates with all contract providers on development of new and expanded services, as well as many community initiatives. This has become critical as the population growth continues. With two contract providers new to the local system of care in the last three years, it is necessary to be able to work closely together on planning and development to increase capacity, meet priorities, avoid unnecessary duplication of services, and decrease service continuum fragmentation. Consistent coordination of efforts by DMMHRSB with providers, law enforcement, courts, EMS, schools, coalitions, Job & Family Services, and health departments have helped to maintain appropriate recovery supports and services. There is a willingness to embrace innovative programs and to approach the problem from multiple directions. Board supported initiatives include clinicians in each county jail, service coordination at the Delaware City Police Department, forensic case management, and extensive peer recovery supports. Screening, Brief Intervention and Referral to Treatment (SBIRT) is also provided through hospitals, primary care partners, Sourcepoint, and HelpLine.

DMMHRSB is an active participant and primary funder of the Delaware Suicide Prevention Coalition. The Coalition is currently planning the 10th Annual Suicide Prevention Walk for this fall. Initial plans to have the event at Ohio Wesleyan University have been changed in order to maintain the wellness and safety of participants during the COVID-19 pandemic, but they are confident that this important community gathering will be held in a modified manner. In 2019, 283 people participated in the walk, making it the largest turn-out in the event’s history. The event includes interactive activities for all ages and promotes a message of hope, awareness, and change. The walk was cancelled for both September and the alternate date in November. There will be increased social media posts in September. The committee decided to reschedule the 10 year anniversary celebration of the Suicide Prevention Walk for Sept 11, 2021.

DMMHRSB has worked to increase awareness through the local trauma-informed care initiative with over 14 community public agencies that began in 2015. The current focus is to provide training, consultation, and support to those working across the service continuum including service providers, community partners, and public safety. DMMHRSB is collaborating with community partners to offer training to law enforcement on how being trauma-informed improves the criminal justice system. Evaluation of the previous offering of this training showed that 100% of the 12 participants “agreed” or “strongly agreed” this was helpful and relevant to their job.

Page 17

DMMHRSB is working to strengthen messages of equity and social justice across Delaware and Morrow Counties. We believe every person is entitled to effective and efficient care to promote social, emotional, and behavioral wellness. DMMHRSB is dedicated to work collaboratively with the community to identify and challenge antiquated policies and perspectives that perpetuate disparity in order to ensure that the services supported by the board are socially conscious and culturally inclusive.

NAMI of Delaware & Morrow Counties has become a growing and vital part of the DMMHRSB system of care and the local community. They have been actively expanding in both counties and currently provide more than 20 virtual support groups monthly. Virtual groups began in the spring after the Governor’s guidance regarding physical distancing and limitation on group gatherings. Last year, they held 13 NAMI Education Classes, more than 30 Community Presentations, and more than 60 school presentations to the residents of Delaware and Morrow Counties. The affiliate continues to explore new methods of reaching the community including social media awareness campaigns, Mental Health Awareness videos for adolescents, and a virtual NAMI Walk in the Fall.

DMMHRSB is an active participant and supporter of the Family & Children First Council (FCFC) in both Delaware and Morrow Counties. As part of the Delaware County FCFC, the Interagency Youth Council (IYC), has representatives of DMMHRSB, Children’s Services, Juvenile Court, Board of Developmental Disabilities, Health District, and direct service providers that meet monthly. They review cases of multi-system children who have the highest risk for out-of-home placements. The child and family are at times new residents to the county and unfamiliar with available local services and supports. Many times, the cases simply involve putting together a Family & Child Team (FACT) to address the needs. IYC also accepts cases of children and families in situations that are deteriorating and need quick interventions. IYC members work together to put services in place to support the child and family and keep them together. The Strengthening Families Initiative is designed to provide programming to families throughout Delaware County focusing on children ages 0-5 and students in grades 6-8 in an effort to build resiliency during these two very impactful stages of life. DMMHRSB partners with the United Way of Delaware County to fund two mental health clinicians that provide mental health services for at-risk youth and families who are unable to access services in a traditional office due to transportation, financial, and systems barriers. Many of the clients seen at Strengthening Families have histories of complex trauma and are facing homelessness, and/or food insecurity. The Strengthening Families Clinicians work to provide treatment level services, link clients with appropriate community resources, and help them navigate court and Job & Family Services’ systems.

The Multi-Agency Community Intervention Team (MACIT), which was patterned after the IYC, started as a community partnership working collaboratively to meet the needs of multi-system, high-risk adults who are in crisis and have law enforcement contact. In early 2020 DMMHRSB participated in an evaluative process of MACIT with partners in service delivery and public safety. It was found that the program success yielded increased collaboration outside formalized MACIT structure and provided follow up and intervention in a more timely and effective manner. In order to evolve team meetings to match the efficiency of multi-agency service delivery, DMMHRSB facilitates monthly Crisis-Systems meetings replaced quarterly MACIT meetings. Participants from Delaware Fire, EMS, Police, Sheriff, Board of Developmental Disabilities, OhioHealth Hospital, and DMMHRSB network treatment providers work to highlight service gaps, community need, and celebrate individual success in providing a system-wide approach to behavioral health treatment.

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DMMHRSB is a participant and supporter of the Drug-Free Delaware (DFD) Coalition which was established in 2007. There are more than 20 committed organizations as members. The original focus of the coalition was to reduce underage drinking. At the expiration of the Drug Free Communities grant, the coalition voted to move to an executive council form of governance with five primary partners: DMMHRSB, Delaware County Sheriff’s Office, Sourcepoint, Delaware County Health District, and the Delaware City Police Department. DMMHRSB contracted providers also continue to support the work of the coalition. During this time of transition coupled with precautions for the COVID-19 pandemic, some coalition activities have been deferred.

DMMHRSB is an active partner and supporter of Drug & Alcohol Awareness & Prevention (DAAP) of Morrow County. This group of local organizations, agencies, and community members provide drug and alcohol awareness to the Morrow County through community outreach, prevention and educational programs such as Parents Who Host and Hidden in Plain Sight, drug take-back programs, and responsible prescription programs providing tangible disposal, storage, and safety products to residents free of charge.

There is strong collaboration with DMMHRSB and local law enforcement and courts in both counties. This is due in part to the Board successfully providing CIT training twice a year with support and guidance from the Delaware County Criminal Justice Association. Over the years, the Sheriffs and local law enforcement have become increasingly involved with the planning and provision of the CIT program. Our multi-disciplinary advisory committee meets quarterly to guide the direction of the program. The CIT program is inclusive of officers at OhioHealth Grady Hospital, Ohio Wesleyan University, and Columbus State Community College in Delaware County. The officers from the Preservation Parks of Delaware County and the Ohio Department of Natural Resources have participated. DMMHRSB has funded a service coordinator located at the Delaware City Police Department that assists residents recently involved with police in finding services and resources. This position also helps facilitate communication between Delaware PD, board contracted providers, the Delaware Board of DD, and other community partners to ensure follow up and support services are immediately available.

DMMHRSB has developed strong, collaborative relationships around re-entry. The Re-entry Coalition has expanded services through Board funding to work closely with the Delaware County Jail and the West Central Community-Based Correctional Facility to assist in the successful transition of inmates with a mental disorder or substance use disorder back into their community. In addition, Delaware County receives a Criminal Justice Behavioral Health Re-entry Grant that through a local partnership is working to further develop and formalize a practical re-entry plan, process and community linkage for county residents with a mental health and/or a substance use disorder detained in the Delaware County Jail. The Lives in Need of Connection (LINC) Team includes an in-reach specialist and a dedicated full-time peer mentor. Re-entry services are also provided to Delaware-Morrow residents at the West Central Community-Based Correctional Facility.

DMMHRSB is a founding member of the Prevention Education in All Classroom Environments (PEACE) Collaborative that is supported in part by a grant from DMMHRSB. The Collaborative is made up of representatives from schools and local organizations that provide prevention programming, as well as those interested in prevention services in the schools. Through its work with the collaborative, the Board has been able to continue to contribute to a consistent, comprehensive prevention plan for local school-age children. The plan is reviewed annually to determine the primary issues that need to be addressed and inform the programming provided. DMMHRSB is working with districts to evaluate the need of students and staff for the upcoming 2020-2021 school year. We are working proactively to plan for alternative learning environments to provide integrated prevention and supports in virtual and hybrid model learning environments.

Page 19

Nationwide Children’s Hospital (NCH) is a partner with the Board on several issues. DMMHRSB subsidizes youth crisis stabilization beds at the main campus in Columbus. The Board area is also part of the Early Childhood Mental Health Consultation Program through NCH.

The Board is an active member of the Ohio Association of County Behavioral Health Authorities (OACBHA), which is an avenue for Boards to work together to impact state policy on behavioral health issues, provide educational opportunities for Board staff, and share information and ideas.

Inpatient Hospital Management

6. Describe the interaction between the local system’s utilization of the State Hospital(s), Private Hospital(s) and/or outpatient services and supports. Discuss any changes in current utilization that is expected or foreseen. Utilization of State Hospitals, predominantly TVBH, continues to show moderate growth with the increasing population, especially in Delaware County. There continues to be an issue of clients’ wait time in emergency departments for available beds to be admitted to all psychiatric hospitals. At times, TVBH will not take referrals on weekends. When state hospital beds are unavailable, DMMHRSB subsidizes acute inpatient stay for uninsured residents. OhioHealth Marion General, Mt. Carmel, and Springstone Hospitals provides availability of inpatient psychiatric services for both insured and uninsured clients. However, the availability of probate services in out-of-county hospitals, other than Franklin County, can present a barrier. DMMHRSB pays for psychiatric hospital stays for indigent clients.

Private hospitalization for children is significantly more difficult to access, including the Crisis Stabilization beds at Nationwide Children’s Hospital. Often, Morrow and Delaware County youth are transported to Franklin, Mahoning, or Lake County for inpatient services. It is not uncommon for youth to be placed on a wait list for inpatient transfer that, depending on the receiving facility, can be up to 5 days.

Page 20

Community Plan Appendix 1: Alcohol & Other Drugs Waivers

A. Waiver Request for Inpatient Hospital Rehabilitation Services

Funds disbursed by or through OhioMHAS may not be used to fund inpatient hospital rehabilitation services. Under circumstances where rehabilitation services cannot be adequately or cost-efficiently produced, either to the population at large such as rural settings, or to specific populations, such as those with special needs, a board may request a waiver from this policy for the use of state funds. To request a waiver, please complete this form providing a brief explanation of services to be provided and a justification. Medicaid-eligible recipients receiving services from hospital-based programs are exempted from this waiver as this wavier is intended for service expenditure of state general revenue and federal block funds.

A. HOSPITAL

Identifier Number ALLOCATION

N/A

B. Request for Generic Services Generic services such as hotlines, urgent crisis response, referral and information that are not part of a funded alcohol and other drug program may not be funded with OhioMHAS funds without a waiver from the department. Each ADAMHS/ADAS board requesting this waiver must complete this form and provide a brief explanation of the services to be provided.

B. AGENCY Identifier Number

SERVICE

ALLOCATION

N/A

Page 21

SIGNATURE PAGE

Community Plan for the Provision of Mental Health and Addiction Services

SFY 2019-2020

Each Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board, Alcohol and Drug Addiction Services (ADAS) Board and Community Mental Health Services (CMHS) Board is required by Ohio law to prepare and submit to the Ohio Mental Health and Addiction Services (OhioMHAS) department a community mental health and addiction services plan for its service area. The plan is prepared in accordance with guidelines established by OhioMHAS in consultation with Board representatives. A Community Plan approved in whole or in part by OhioMHAS is a necessary component in establishing Board eligibility to receive State and Federal funds and is in effect until OhioMHAS approves a subsequent Community Plan. The undersigned are duly authorized representatives of the ADAMHS/ADAS/CMHS Board. Delaware-Morrow Mental Health & Recovery Services Board ADAMHS, ADAS or CMH Board Name (Please print or type) ____________________________________________ ______________ ADAMHS, ADAS or CMH Board Executive Director Date _____________________________________________ ______________ ADAMHS, ADAS or CMH Board Chair Date [Signatures must be original or if not signed by designated individual, then documentation of authority to do so must be included (Board minutes, letter of authority, etc.)].

Delaware County 11 N. Franklin St Delaware, OH 43015 740.363.1835 740.369.0358 (fax)

Morrow County 950 Meadow Dr, Suite B Mt. Gilead, OH 43338 419.946.1350 419.947.1093 (fax)

Crawford/Wyandot Counties 97 Houpt Dr, Suite W Upper Sandusky, OH 43351 419.947.2520 419.947.1093 (fax)

Connections Volunteer Center 39 W. Winter St Delaware, OH 43015 740.363.5000 740.369.0351 (fax)

helplinedelmor.org

HelpLine is a contract provider of the Delaware-Morrow Mental Health & Recovery Services Board, a partner agency of the United Ways of Delaware, Morrow, Union, Logan and Shelby Counties, with partial funding provided by SourcePoint and various other grants and private donations, HelpLine is accredited by the American Association of Suicidology, the National Alliance of Information & Referral Systems and certified by the Ohio Department of Mental Health and Addiction Services.

Equal Opportunity Employer/Provider

August 28, 2020

Deanna Brant Executive Director DMMH&RSB 40 N. Sandusky St. Delaware, OH 43015 Dear Ms. Brant, HelpLine would like to respectfully request a one month advance in the amount of one twelfth of our allocation ($154,194) for the purposes of cash flow. We had a very small remainder to bill in July for June. Thank you for our consideration. Sincerely,

Susan Hanson, MSW, LISW-S Executive Director Cc: Beth Anderson Leslie Baldwin

DELAWARE-MORROW MENTAL HEALTH & RECOVERY SERVICES BOARD

BY-LAWS (Amended and Restated October 11, 2007 August

2020)

PREAMBLE

The Board’s authority and purposes are primarily set forth in Chapter 340 and other relevant sections of the Ohio Revised Code. These by-laws are adopted pursuant to Ohio Revised Code Section 340.03(B).

ARTICLE I

“NAME”

Section 1. The name of the organization is: The Delaware-Morrow Mental Health & Recovery Services Board, hereinafter referred to as the Board.

Section 2. The territory served by the Board are the Ohio Counties of Delaware and Morrow.

Section 3. The principle office and place of business of the Board shall be located within either of the Counties served, at such place as may be designated from time to time by the Board.

ARTICLE II

“PURPOSES”

Section 1. Overall, the purpose of the Board is to ensure that residents have access to high quality, cost effective, community-based behavioral health care, mental health, and addiction planning services. The Board achieves this with strategic planning and management, and through the prudent and responsible use of local, state, and federal tax dollars.

Section 2. Subject to rules issued by the director of mental health and addiction services, the Delaware-Morrow Mental Health and Recovery Services Board shall:

(1) Serve as the community alcohol, drug addiction and mental health services planning agency addiction and mental health planning agency for the counties of Delaware and Morrow, and in so doing it shall:

(a.) Evaluate the need for programs and facilities for which state or federal aid for alcohol, drug addiction and mental health services is requested and local planning action is required and submit its findings and recommendations to the appropriate local, regional, state or federal agency;

(a) Evaluate the need for facility services, addiction services, mental health services, and recovery supports;

(b) In cooperation with other local and regional planning and funding bodies and with relevant ethnic organizations, evaluate strengths and challenges and set priorities for addiction services, mental health services, and recovery supports. A board shall include treatment and prevention services when setting priorities for addiction services and mental health services. When a board sets priorities for addiction services, the board shall consult with the county commissioners of the counties in the

David Moser

Changes made reflect most recent version of ORC 340.03.

board's service district regarding the services described in section 340.15 of the Revised Code and shall give priority to those services, except that those services shall not have a priority over services provided to pregnant women under programs developed in relation to the mandate established in section 5119.17 of the Revised Code;

(c) In accordance with guidelines issued by the director of mental health and addiction services, annually develop and submit to the department of mental health and addiction services a community addiction and mental health plan that addresses both of the following:

(i) The needs of all residents of the district currently receiving inpatient services in state-operated hospitals, the needs of other populations as required by state or federal law or programs, and the needs of all children subject to a determination made pursuant to section 121.38 of the Revised Code;

(ii) The department's priorities for facility services, addiction services, mental health services, and recovery supports during the period for which the plan will be in effect. The department shall inform the Board of the department's priorities in a timely manner that enables the Board to know the department's priorities before the Board develops and submits the plans.

(4.) Receive, compile, and transmit to the Department of Mental Health or the Department of Alcohol & Drug Addiction Services applications for State reimbursement;

http://codes.ohio.gov/orc/340.15



DMMH&RSB By-Laws - 10/11/2007 Page 2

(5.)

(d) Promote, arrange, and implement working agreements with social agencies, both public and private, and with judicial agencies.

(2) Investigate, or request another agency to investigate, any complaint alleging abuse or neglect of any person receiving addiction services, mental health services, or recovery supports from a community addiction services provider or community mental health services provider or alleging abuse or neglect of a resident receiving addiction services or with mental illness or severe mental disability residing in a residential facility licensed under section 5119.34 of the Revised Code;

(3) Cooperate with the director of mental health and addiction services in visiting and evaluating whether the certifiable services and supports of a community addiction services provider or community mental health services provider satisfy the applicable certification standards promulgated under the Revised Code;

(4) Conduct program audits that review and evaluate the quality, effectiveness, and

efficiency of addiction services, mental health services, and recovery supports provided by community addiction services providers and community mental health services providers under contract with the Board and submit the Board's findings and recommendations to the department of mental health and addiction services;

(5) Review an application for a residential facility license and provide to the department of mental health and addiction services any information about the applicant or facility that the Board would like the department to consider in reviewing the application;

(6) Audit, pursuant to rules established by the Ohio Auditor of State, at least annually, all

programs, addiction services, mental health services, and recovery supports provided under contract with the Board. In so doing, the Board may contract for or employ the service of private auditors. A copy of the fiscal audit report shall be provided to the Ohio Department of Mental Health and Addiction Services Department of Mental Health, Department of Alcohol and Drug Addiction Services, the Auditor of State, and the County Auditor of each county in the Board’s district;

(7) Recruit and promote local financial support for addiction services, mental health services, and

recovery supports from private and public sources;

(8) Enter into contracts with public and private facilities for the operation of facility services and enter into contracts with public and private community addiction and mental health services providers for the provision of addiction and mental health services;

(9)Approve fee schedules and related charges or adopt a unit cost scheduleor other

methods of payment for addiction services, mental health services, and recovery supports provided by community addiction services providers and community mental health services providers in accordance with guidelines issued by the


department as necessary to comply with state and federal laws pertaining to financial assistance;

(10) Submit to the Department of Mental Health and the Department of Alcohol & Drug

Addiction Services Ohio Department of Mental Health and Addiction Services and the County Commissioners of the counties served by the Board, and make available to the public, an annual report of the addiction services, mental health services, and recovery supports under the jurisdiction of the Board, including a fiscal accounting;

(11) Establish a method for evaluating referrals for court-ordered treatment and affidavits filed

pursuant to section 5122.11 of the Revised Code in order to assist the probate division of the courts of common pleas under the territorial jurisdiction of the Board in determining whether there is probable cause that a respondent is subject to court-ordered treatment and whether alternatives to hospitalization are available and appropriate;

(12) Designate the treatment services, provider, facility, or other placement for each person involuntarily committed to the Board pursuant to Chapter 5122. of the Revised Code. The Board shall provide the least restrictive and most appropriate alternative that is available for any person involuntarily committed to it and shall assure that the list of addiction services, mental health services, and recovery supports submitted and approved in accordance with division (B) of section 340.08 of the Revised Code are available to severely mentally disabled persons residing within its service district. The Board shall establish the procedure for authorizing payment for the services and supports, which may include prior authorization in appropriate circumstances. In accordance with section 340.037 of the Revised Code, the Board may provide addiction services and mental health services directly to a severely mentally disabled person when life or safety is endangered and when no community addiction services provider or community mental health services provider is available to provide the service;

(13) Ensure that housing built, subsidized, renovated, rented, owned, or leased by the Board or a

community mental health services provider has been approved as meeting minimum fire safety standards and that persons residing in the housing have access to appropriate and necessary services, including culturally relevant services, from a community addiction services provider or community mental health services provider. This does not apply to residential facilities licensed pursuant to section 5119.34 of the Revised Code;

(14) Establish a mechanism for obtaining advice and involvement of persons receiving addiction

services, mental health services, or recovery supports on matters pertaining to services and supports in the Board’s service district; and,

(15) Perform the duties required by State rules regarding referrals by the Board or community mental

health services providers under contract with the Board of individuals with mental illness or severe mental disability to class two residential facilities licensed under section 5119.34 of the Revised Code and effective arrangements for ongoing mental health services for the individuals. The Board is accountable in the manner specified in the rules for ensuring that the ongoing mental health services are effectively arranged for the individuals.

Section 3. The Delaware-Morrow Mental Health and Recovery Services Board shall establish such

rules, operating procedures, standards, and bylaws, and perform such other duties as may be necessary or proper to carry out the purposes of the laws providing for addiction and mental health services.

(1) In addition to the above prescribed statutory mandates and deliverables, the Board may:

(a) Receive by gift, grant, devise, or bequest any moneys, lands, or property for the benefit of the

purposes for which the Board is established, and may hold and apply it according to the terms of the gift, grant, or bequest. All money received, including accrued interest, by gift, grant, or bequest shall be deposited in the treasury of the county, the treasurer of which is custodian of the alcohol, drug addiction, and mental health services funds to the credit of the Board and shall be available for use by the Board for purposes stated by the donor or grantor;

(b) Inspect any residential facility licensed under section 5119.34 of the Revised Code and located in its service district; and,

https://codes.ohio.gov/orc/340.08





(c) Acquire, convey, lease, or enter into a contract to purchase, lease, or sell property for addiction services, mental health services, and related purposes, and enter into loan agreements, including mortgages, for the acquisition of such property.

Section 4. Subject to rules adopted by the director of mental health and addiction services, the Board shall do all of the following:

(1) Establish, to the extent resources are available, a community-based continuum of care that includes all of the following as essential elements:

(a) Prevention and wellness management services;

(b) At least both of the following outreach and engagement activities:

(i) Locating persons in need of addiction services and persons in need of mental health services to inform them of available addiction services, mental health services, and recovery supports;

(ii) Helping persons who receive addiction services and persons who receive mental health services obtain services necessary to meet basic human needs for food, clothing, shelter, medical care, personal safety, and income.

(c) Assessment services;

(d) Care coordination;

(e) Residential services;

(f) At least the following outpatient services:

(i) Nonintensive;

(ii) Intensive, such as partial hospitalization and assertive community treatment;

(ii) Withdrawal management;

(iv) Emergency and crisis.

(g) Where appropriate, at least the following inpatient services:

(i) Psychiatric care;

(ii) Medically managed alcohol or drug treatment.

(h) At least all of the following recovery supports:

(i) Peer support;

(ii) A wide range of housing and support services, including recovery housing;

(iii) Employment, vocational, and educational opportunities;

(iv) Assistance with social, personal, and living skills;

(v) Multiple paths to recovery such as twelve-step approaches and parent advocacy connection;

(vi) Support, assistance, consultation, and education for families, friends, and persons receiving addiction services, mental health services, and recovery supports.

(i) In accordance with section 340.033 of the Revised Code, an array of addiction services and recovery supports for all levels of opioid and co-occurring drug addiction;

(j) Any additional elements the department of mental health and addiction services, pursuant to section 5119.21 of the Revised Code, determines are necessary to establish the community-based continuum of care.

(2) Ensure that the rights of persons receiving any elements of the community-based continuum of care are protected;

(3) Ensure that persons receiving any elements of the community-based continuum of care are able to utilize grievance procedures applicable to the elements.

(4) Perform all other duties imposed upon the Board by Ohio Revised Code or other applicable laws.



ARTICLE III

“MEMBERSHIP”

Section 1. The Board shall consist of eighteen (18) fourteen (14) members appointed pursuant to Section 340.02 of the Ohio Revised Code. At least one member of the Board shall be a practicing psychiatrist and one member of the Board shall be a mental health professional. a clinician with experience in the delivery of mental health services, at least one member of the board is a person who has received or is receiving mental health services, at least one member of the board is a parent or other relative of such a person, at least one member of the board is a clinician with experience in the delivery of addiction services, at least one member of the board is a person who has received or is receiving addiction services, and at least one member of the board is a parent or other relative of such a person. A single member who meets both qualifications may fulfill the requirement for a clinician with experience in the delivery of mental health services and a clinician with experience in the delivery of addiction services. A practicing physician may be appointed in place of the psychiatrist. Membership of the Board shall, as nearly as possible, reflect the composition of the population of the service district as to race and sex. The Department of Mental Health shall ensure that at least one member is a person who has received or is receiving mental health services paid for by public funds and at least one member is a parent or other relative of such a person. The Department of Alcohol & Drug Addiction Services shall ensure that at least one member is a person who has received or is receiving alcohol or drug addiction services, one shall be a parent or relative of such a person, one shall be a professional in the field of alcohol or drug addiction services, and one shall be an advocate for persons receiving treatment for alcohol or drug addiction. Members shall be residents of the district and shall be interested in alcohol, drug addiction and mental health programs and facilities.

Section 2. The Board’s membership and membership terms will adhere to all other requirements and limitations set forth in Section 340.02 of the Ohio Revised Code.

Section 3. At least annually, every Board member shall attend at least one in-service training session provided or approved by the department of mental health and addiction services.

Section 4. No member shall serve more than two consecutive four year terms. A member may serve for three consecutive terms only if one of the terms is for less than two years. A member who has served two consecutive four-year terms or three consecutive terms totaling less than ten years is eligible for reappointment by the same appointing authority one year following the end of the second or third term, respectively.

Section 5. Any Board member vacancy created by the expiration of the member’s term of office shall be filled by the original appointing authority in the same manner as an original appointment, and shall be for a term of four years.

Section 6. Any Board member vacancy created before the expiration of the member’s term of office shall be filled by the original appointing authority in the same manner as an original appointment, and shall be for the remainder of the unexpired term.

Section 7. Any member of the Board may resign by tendering a resignation to the Board and the appointing authority. Any member of the Board may be removed from office by the appointing authority for neglect of duty, misconduct, or malfeasance in office, after being informed in writing of the charges and afforded an opportunity for a hearing.

Section 8. Upon the absence of a member within one year from either four Board meetings or from two Board meetings without prior notice, the Board shall notify the appointing authority, which may vacate the appointment and appoint another person to complete the member’s term.

David Moser

No, we cannot extend a term in order to fill a spot. Once Board member’s terms are up/expired, a vacancy occurs.

ARTICLE IV

“OFFICERS”

Section 1. The Officers of the Board shall be Chairperson, Vice-Chairperson, and Secretary. Officers shall be elected annually by the Board from the membership of the Board at the June meeting.

Section 2. The term of Board Officers shall be for one year, or until the successor is elected, whichever occurs first.

Section 3. The Chairperson shall preside at all meetings of the Board and of the Executive Committee. He/shall be an ex-officio member of all committees of the Board, except the Nominating Committee. The Chairperson may designate the Vice-Chairperson to sit on such committees in his/her place. The Chairperson may sign contracts along with the Executive Director. In addition, the Chairperson shall exercise authority and perform such duties as the Board may assign from time to time.

Section 4. The Vice-Chairperson shall perform the duties of the Chairperson during the absence of the Chairperson or the inability of the Chairperson to discharge the duties of the office and shall perform such other duties as the Board from time to time may direct.

Section 5. The Secretary shall exercise oversight of the minutes and records of the meetings of the Board and shall perform such other duties as the Board from time to time may direct. In the absence of both the Chair and Vice-Chair, the Secretary will preside over meetings of the Board.

Section 6. The Board Chairperson shall appoint a three-member Nominating Committee to be ratified by a majority vote of members present. The Nominating Committee shall be ratified at a meeting prior to the election of Officers. The Nominating Committee shall present a slate of Officers or list of candidates for each office to be voted upon by the full membership at the June Board meeting. At that meeting, the Board will decide to elect either the slate of Officers or elect each Officer separately. The slate of Officers or list of candidates for each office shall be provided to each Board member in writing at least five working days prior to the meeting. Nominations from the floor will be requested and accepted. A majority vote of the membership is required to elect each Officer.

Section 7. Newly elected full term officers elected prior to July 1 shall begin their duties on the first day of the planning and reporting year (see Article VII).

Section 8. In the event that an Officer vacancy occurs, or an Officer election occurs after July 1 for the current planning and reporting year, the newly elected officers’ terms shall commence at the conclusion of the meeting at which the election is held. The existing Nominating Committee shall present a slate for any vacant office and a vote shall be taken at the next regularly scheduled Board meeting.

ARTICLE V

“COMMITTEES”

Section 1. The following shall be the Standing Committees of the Board, comprised of at least three members, including one Committee Chairperson, to be appointed by the Board Chairperson immediately after the election of Board Officers at the June meeting:

(1.) Executive Committee; (2.) Alcohol, Drug Addiction & Mental Health Services Planning and Evaluation Committee (“Planning Committee”); (3.) Joint Finance Committee; (4.) Infrastructure & Facilities Committee; (5.) Nominating Committee; and, (6.) Any other ad hoc, special, temporary or permanent Standing Committee that, from time to time, may be deemed necessary by the Board to fulfill essential Board operations and functions. Board members may volunteer to serve on one or more Standing Committees. Members of Standing Committees shall serve for one year, commencing at the first regular Board meeting of the planning and reporting year (see Article VII). The Executive Director may serve as an ex-officio (non-voting) member of all Standing Committees. Standing Committee meetings shall be open to all Board members and adhere to all open meetings requirements of Ohio Revised Code § 121.22. Written minutes of all Standing Committee meetings shall be recorded, maintained for public access, and submitted to all Board members. Standing Committees shall have no authority to act in lieu of the Board nor to commit the Board to any position or course of action, except with explicit authorization by a majority of the Board.

Section 2. Executive Committee. The Executive Committee shall consist of the Board Officers as stated in Article IV, in addition to the Planning Committee Chairperson. The Executive Committee shall exercise the duties of the Board between its regularly scheduled meetings, as designated by the Board, except that it shall not act contrary to any action taken by the Board nor in any manner contrary to applicable law. Responsibilities of the Executive Committee shall include, but not be limited to, ensuring development and implementation of Board-approved strategic planning, funding forecasts, budgets, annual reports, service plans, and audits. Section 3. Planning Committee. The Planning Committee shall consist of the Board Officers as stated in Article IV. The Planning Committee shall systematically evaluate the continuum of care and all service proposals and funding requests, monitor whether agencies receiving Board funding for clinical services are implementing evaluations of those services, review agency proposals for outcome evaluation, review evaluations that include measures of both client functioning and satisfaction, and review agency plans for presentation of outcome assessments to the Board. Section 4. Joint Finance Committee. The Joint Finance Committee shall consist of the Board Officers as stated in Article IV. The Joint Finance Committee shall provide oversight of all Board financial and budgetary affairs, prepare annual funding forecasts, review Board and agency allocation budgets, review agency requests with respect to the budget, prepare annual audits, review contracts, review and develop policies and procedures that ensure the just and efficient administration of Board activities. Section 5. Infrastructure & Facilities Committee. The Infrastructure & Facilities Committee shall consist of the Board Officers as stated in Article IV. The Infrastructure & Facilities Committee shall review and provide recommendations on all Board capital project proposals, evaluate any proposed renovations and/or construction related to existing Board facilities, evaluate the need for new and/or additional facility services to be provided by the Board, review proposed contracts with public and private facilities for the operation of facility services, and review applications for residential facility licenses prior to consideration by the full Board.

Section 6. Nominating Committee. The Nominating Committee shall consist of those individuals identified in Article IV and shall prepare a slate of Board Officers at the Board’s June meeting each year.

ARTICLE VI

“MEETINGS”

Section 1. The annual meeting of the Board shall be in the second quarter of each planning and reporting year at such time and place as shall be designated by the Board. The purpose of the annual meeting is to present and approve the Annual Report.

Section 2. The Board shall endeavor to meet monthly at such times as are designated by the Chair, but not

David Moser

Is this the same as the “Joint Committee”? If not, what is Joint Committee? That should be addressed here.

David Moser

Confusing. Why not just appoint a chairperson each year along with Board Officers and all other Standing Committee Officers? It can be the same person from year to year, but not required to be.

less often than quarterly, or at such other times as may be designated by the Chair or the Executive Committee.

Section 3. The agenda of the monthly Board meetings will be prepared by the Executive Director in consultation with the Board Chairperson. Special meetings of the Board may be called by the Chairperson or by one-third (1/3) of the Board membership. All meetings of the Board and all meetings of Standing Committees of the Board shall be open to the public and adhere to all open meetings requirements of Ohio Revised Code § 121.22. All meetings will follow, as closely as practicable, Roberts Rules of Order. In the case of postponement or continuance of any Board meeting, the Secretary or Executive Director shall notify all Boards, all news media that have requested notice, and shall cause public notice of the rescheduled meeting to be issued.

Section 4.

A majority of the members appointed to the Board shall be present to constitute a quorum for the transaction of Board business. Similarly, a majority of all members appointed to the various Standing Committees of the Board shall be present to constitute a quorum for the transaction of Standing Committee business. Each Board member shall have one vote. A simple majority of those present and voting, at any duly called meeting of the Board at which a quorum is present, will decide all matters, with the exception of the following: an affirmative vote of two-thirds (2/3) of all Board members is necessary to adopt a resolution placing a levy on the ballot, and an affirmative vote of two-thirds (2/3) of all Board members is necessary to amend these By-Laws.

ARTICLE VII

“ORGANIZATION”

Section 1. The Board shall employ an Executive Director. In addition to those duties as outlined in Section 340.04 of the Revised Code, the Director shall have such duties and powers as may be granted to or imposed on him/her by the Board. The Executive Director is authorized, without further Board action, to sign standard service contracts pertaining to the Board’s operations in an amount not to exceed $25,000 with Board service providers, provided that (a) the funds for the contract and agreement have been appropriated in the Approved Fiscal Year Budget for that purpose and (b) have been authorized by the Board for distribution to that service provider. Any such contract executed shall be disclosed to the Board at its next regular meeting and a record of that disclosure shall be included in the written minutes of the meeting. All other Board contracts exceeding $25,000 will require prior Board approval, and must also be signed by both the Executive Director and the Chairperson of the Board, or designee. To the extent authorized by the Board and subject to its approval, the Executive Director shall act as the authorized representative of the Board in matters affecting the administration of the affairs of the Board.

Section 2. The principal office and place of business of the Board shall be located within one of the two counties comprising the Board’s service district, at such place as designated by the Board.

Section 3. The management of the property and affairs of the Board shall be controlled by the Board and may be delegated to the Officers of the Board and/or staff employed by the Board.

Section 4. The planning and reporting year for the Board will be from July 1 to June 30, unless otherwise required by State and Federal statutes.

ARTICLE VIII

“COMPENSATION”

Section 1. Board members shall serve without compensation, but shall be reimbursed for actual and necessary expenses incurred in the performance of their official duties, as defined by rules of the

department of mental health and addiction services.

ARTICLE IX

“INDEMNIFICATION OF BOARD REPRESENTATIVES”

Section 1. The Board may procure a policy or policies of insurance insuring Board members or employees of the Board or providers with which the Board contracts against liability arising from the performance of their official duties. If the liability insurance is unavailable or the amount the Board has procured or is able to procure is insufficient to cover the amount of a claim, the Board may indemnify a Board member or employee as follows:

(A) For any action or inaction in the capacity of Board member or employee or at the request of the Board, whether or not the action or inaction is expressly authorized by this or any other section of the Revised Code, if both of the following apply:

(1) The Board member or employee acted in good faith and in a manner that the Board member or employee reasonably believed was in or was not opposed to the best interests of the Board;

(2) With respect to any criminal action or proceeding, the Board member or employee had no reason to believe the Board member's or employee's conduct was unlawful.

(B) Against any expenses, including attorneys' fees, the Board member or employee actually and reasonably incurs as a result of a suit or other proceeding involving the defense of any action or inaction in the capacity of Board member or employee or at the request of the Board, or in defense of any claim, issue, or matter raised in connection with the defense of such an action or inaction, to the extent that the Board member or employee is successful on the merits or otherwise.

ARTICLE X

“AMENDMENTS”

These By-Laws may be amended by a two-thirds vote of all members of the Board in accordance with voting rules at any regularly scheduled meeting of the Board, or at a special meeting of the Board called for that purpose and for which notice has been given to all members. A copy of the proposed changes shall be given to all members not less than two weeks prior to the meeting at which the amendments are to be considered.

ARTICLE XI

“CONDUCT OF BUSINESS”

The business of the Board at its meetings and the business of its committees shall be conducted in accordance with the current edition of Robert’s Rules of Order newly revised, except as may be otherwise provided herein, and/or in other Board policy or by applicable law. The Chairperson may appoint a member as parliamentarian, however, the appointment shall not disqualify the parliamentarian from any of a members

rights or duties, including the right to debate, vote or make motions.

/mds 10/11/2007

David Moser

This is an option, not a requirement. I thought it might stream-line certain contractual matters. If you don’t like it, we can remove.

David Moser

Updated to reflect current version of ORC 340.11.

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FIRST AMENDMENT TO

MEMORANDUM OF UNDERSTANDING BETWEEN DELAWARE-MORROW MENTAL HEALTH & RECOVERY SERVICES BOARD AND

THE COURT OF COMMON PLEAS, DELAWARE COUNTY, OHIO SPECIALIZED DOCKET SUBSIDY PROJECT

FY2021

This First Amendment to the Memorandum of Understanding (“First Amendment”) is entered into as of the last date signed below between the Delaware-Morrow Mental Health & Recovery Services Board (“Board”) and the Court of Common Pleas, Delaware County, Ohio (“Court”) (Board and Court collectively referred to herein as the “Parties”). WHEREAS, the Parties previously entered into a Memorandum of Understanding (“MOU”) effective from July 1, 2020 June 30, 2021, for the purpose of setting forth the responsibilities of the Parties for administration of a Specialized Dockets Subsidy Project (the “Project”) created through financial assistance from the Ohio Department of Mental Health and Addiction Services (“OhioMHAS”); and, WHEREAS, recently, Board was notified by OhioMHAS of approved, additional state funding being made available to Court for administration of the Project, in the amount of $5,172.00; and, WHEREAS, the Parties desire to add and incorporate this additional funding of $5,172.00 into the MOU; and, WHEREAS, the Parties hereby agree to enter this First Amendment as contemplated by Section 9 of the MOU. NOW THEREFORE, the Parties agree as follows:

1. The Parties hereby agree to include an additional $5,172.00 made available by OhioMHAS to the Court, which will provide support for each of the Court’s three specialized dockets.

2. The Parties understand and agree that all invoicing, payment, and reporting procedures included in the MOU remain in effect and unchanged.

3. Except as amended herein, all other terms, conditions and covenants of the MOU shall continue to remain in full force and effect.

(SIGNATURES ON FOLLOWING PAGE)

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Delaware-Morrow Mental Health & Court of Common Pleas Recovery Services Board Delaware County, Ohio ______________________________ ______________________________ Deanna Brant, Executive Director James Schuck, Judge Dated: ___________________ Dated: ___________________ Approved as to form on behalf of Board ______________________________ David Gormley, Judge ______________________________ Dated: ___________________ David Moser, Board Counsel (0090834) Dated: August 26, 2020 ______________________________ David Hejmanowski, Judge Dated: ___________________

Court Administrator on behalf of the Board of Commissioners, Delaware County, Ohio

______________________________ Michael Frommer, County Administrator

Dated: ___________________

Approved as to form on behalf of County ______________________________ Melissa A. Schiffel (01082154) Delaware County Prosecuting Attorney

Dated: ___________________

AUDITOR’S CERTIFICATION - DMMH (ORC SECTION 5705.41(D))

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The Delaware County Auditor hereby certifies that the funds required to meet the obligation set forth in this Agreement have been lawfully appropriated for such purpose and are in the county treasury or in the process of collection, free from any other encumbrances. The Delaware County Auditor also certifies that it has confirmed with the State of Ohio Auditor that the Delaware-Morrow Mental Health & Recovery Services Board has no unresolved findings for recovery pending or issued against it by the State of Ohio.

George Kaitsa Delaware County Auditor

P.R. #:

NO AUDITOR’S CERTIFICATION REQUIRED - COUNTY

(RC 5705.41(D)):

This MOU does not require the expenditure of Delaware County Common Pleas Court or Delaware County Board of Commissioners moneys/funds. No Auditor’s Certification is required for these entities.

2020 Board Member Survey Results Eighty-three percent (83%) of Board Members participated in the Survey. The following are the results from the Board Member Survey distributed in July, 2020. 1. Which day of the week, week of the month and time is best for you to attend Board

meetings? a. Seventy-three percent (73%) of the responses indicated a choice of holding

Board meetings on Thursday night. Twenty-seven percent (27%) chose Tuesday. Eighteen percent (18%) chose Wednesday.

b. Forty-five percent (45%) of the responses indicated a choice of holding Board meetings the second week of the month. Thirty-six percent (36%) chose the third week. Nine percent (9%) chose the fourth week.

c. Thirty-six percent (36%) of the responses indicated a choice of starting Board

Meetings at 6:00 p.m. or 6:30 p.m. Twenty-seven percent (27%) chose 5:30 p.m. Nine percent (9%) chose 6 a.m. 12 p.m. 1 p.m. or 5 p.m.

2. Would you favor separating the Joint Committee back to individual Committees of

Planning and Finance. Eighty-two percent (82%) of the responses indicated they believe the Planning and Finance Committees need to be split and hold meetings separately. Nine percent (9%) said they should not.

3. If the Planning and Finance Committee meetings are held separately, would you favor the meetings being rotated every other month and held before the Board meeting. Sixty-four percent (64%) of the responses indicated they believe the Planning and Finance Committees should rotate meetings every other month. Eighteen percent (18%) said they should not.

4. Would you favor a separate Outreach Committee being created, to assist with the Board’s public relations, community events, the Levy, and overall Board messaging to the Community. This could be a sub-committee of the Planning Committee. This meeting could be held prior to the Planning Committee meeting. Sixty-four percent (64%) of the responses indicated they believe there should be an Outreach Committee. Eighteen percent (18%) said there should not.

5. Would you favor an Information Technology Committee being created to better manage the Board’s IT needs. This would be a sub-committee of the Infrastructure and Facilities Committee. This meeting could be held prior to the Infrastructure and Facilities Committee meeting. Sixty-four percent (64%) of the responses indicated they believe there should be an IT Committee. Eighteen percent (18%) said there should not.

6. Would you favor the Executive Committee reverting back to its original intent of overseeing the overall management and personnel policies of the Board. If so, the frequency of the meetings is being suggested to be once per quarter. Forty-five percent (45%) of the responses indicated they believe the Executive Committee should revert to its original purpose and meet quarterly. Thirty-six percent (36%) said it should remain the same.

7. In an effort to streamline meetings, a consent agenda has been discussed.

Do you feel this could be a new format for conducting Board meetings? Ninety-one percent (91%) of the responses indicated they believe Board meetings should move to a consent agenda, when warranted.

Memorandum of Understanding Between

OhioHealth Primary Care Physician Group – Morrow County and

The Delaware and Morrow Mental Health and Recovery Services Board and System of Care Providers – Morrow County

This Memorandum of Understanding (MOU) is entered into on June XXXXXX between the OhioHealth Primary Care Physician Group of Morrow County (hereafter referred to as OhioHealth) located at 900 Meadow Drive, Suite A, Mount Gilead, OH 43338 and the Delaware and Morrow Mental Health and Recovery Services Board and its Network of Providers in Morrow County including Maryhaven, Recovery and Prevention Resource, Southeast Healthcare and Syntero (herein referred to as the Board and Network Providers) with the Board located at 40 N. Sandusky Street, Suite 301, Delaware, OH 43015, and the Network Providers located at the Meadow Center, 950 Meadow Drive, Mount Gilead, OH, 43338. When referring to OhioHealth, the Board and the Network of Care, herein after they will be the Parties. WHEREAS OhioHealth provides primary care services for people living in Morrow County and the surrounding area; and WHEREAS the Board and Network Providers offer a range of mental health, substance use disorder and prevention services for people living in Morrow County and the surrounding area; and WHEREAS OhioHealth is seeking referral resources for mental health and substance use disorder services for its primary care patients; and WHEREAS the Network of Care can accept referrals from OhioHealth and provide an array of mental health and substance use disorder services for people of all ages regardless of ability to pay; NOW THEREFORE, in consideration of the forgoing, the parties agree as follows. I. OhioHealth will determine the needs of their patients for mental health and substance use

disorder treatment and make referrals to Network Providers following referral guidance on Addendum A. OhioHealth will make such referrals under HIPAA coordination of care and will include the reason for the referral and other demographic patient information.

II. A designated referral contact in the Network Provider organizations will accept referrals

and schedule appointments for services included in Addendum A. Communication with the referring practice or physician will include the appointment date and time, the start date of service if different from the initial appointment time, or if the patient did not keep the referral appointment. The Network Provider will perform all services in accordance with the privacy regulations [45 CFR 164.502(e); 164.504(e)] issued pursuant to the

Health Insurance Portability and Accountability Act [42 USC 1320-1320d-8] and adhere to all federal, state and local laws related to HIPAA and not use information that could compromise a patient's confidentiality in communications regarding services contained in this contract.

III. Parties agree that nothing in this Memorandum of Understanding implies any corporate or legal relationship between the Parties. Staff members’ relationships are only those of making and accepting referrals and participating in coordination of healthcare on behalf of clients who are referred.

IV. Parties agree that any patient payment responsibility lies only with the patient and the network of care provider involved in the patient’s care.

V. Each Party shall hold harmless, and indemnify the other Parties and its directors, officers, representatives, agents and employees against any and all loss, liability, damage, or expense.

VI. Parties have the right to terminate this MOU with a ninety (90) day written notice of any

Parties’ intent to terminate it. Such termination will not affect any patient’s care with any of the Parties. Referrals between individual Primary Care practices and individual Providers may continue if this MOU is terminated between Parties.

VII. Program Contacts

See Addendum A.

SIGNATURES OF AGREEMENT OhioHealth Primary Care Practices: _______________________________________________ __________________ Name/Title Date _______________________________________________ __________________ Name/Title Date Delaware-Morrow Mental Health and Recovery Services Board: _______________________________________________ __________________ Deanna Brant, Executive Director Date

For the Network of Care Providers: Maryhaven _______________________________________________ __________________ Shawn Holt, President/CEO Date 1791 Alum Creek Drive Columbus OH 43207 Recovery and Prevention Resource _______________________________________________ __________________ Tony Williams, CEO Date 118 Stover Drive Delaware OH 43015 Southeast Healthcare _______________________________________________ __________________ William Lee, CEO Date Southeast, Inc. 16. W. Long Street Columbus, OH 43215 Syntero _______________________________________________ __________________ Julie Erwin-Rinaldi, CEO/Executive Director Date 299 Cramer Creek Dublin, OH 43017

Documents

Executive Committee Agenda Monday, August 31, 2020 Delaware … · 2020. 8. 8. · Executive Committee Agenda . Monday, August 31, 2020 500: p.m. Virtual Delaware-Morrow Mental Health